Adolescent Mothers, Grandmothers, Breastfeeding and Complementary Feeding

Study Description

Go to 

Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Brief Summary:

The purpose of this study is to determine whether counseling sessions on breastfeeding for adolescent mothers and their grandmothers in the maternity ward and at home are effective in to improve the exclusive and total breastfeeding rates during the first six month, as well as the convenient timing of supplementary feeding introduction.

Condition or disease	Intervention/treatment	Phase
Breastfeeding; Weaning	Behavioral: counseling sessions	Not Applicable

Detailed Description:

Despite the recognized value of exclusive breastfeeding during the first months of a child's life and efforts for promoting this practice, rates for this pattern of breastfeeding in Brazil are below those recommended by the World Health Organization(WHO), which advocates exclusive breastfeeding during the first 6 months. The last national survey about the prevalence of breastfeeding revealed a median duration of 10 months. However , the length of exclusive breastfeeding was only 23 days.

A lot of studies identified maternal age as predictor of breastfeeding. In African, Asian, Latin American and the Pacific societies, older women, or grandmothers,traditionally have considerable influence on decisions related to maternal and child health at the household level.

Considering all that, interventions intended to increase frequency of breastfeeding, particularly exclusive breastfeeding. However, there are few studies on this subject.

Study Design

Go to 

Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Study Type :	Interventional (Clinical Trial)
Actual Enrollment :	344 participants
Allocation:	Randomized
Intervention Model:	Parallel Assignment
Masking:	Double (Participant, Outcomes Assessor)
Primary Purpose:	Prevention
Official Title:	Effect of Intervention About Breastfeeding and Complementary Feeding in Adolescent Mothers and Their Grandmothers
Study Start Date :	May 2006
Actual Primary Completion Date :	August 2008
Actual Study Completion Date :	January 2009

Arms and Interventions

Go to 

Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Arm	Intervention/treatment
Experimental: visit with grandmother; Teenagers mothers and their grandmothers receive counseling sessions about breastfeeding and complementary feeding.	Behavioral: counseling sessions; The intervention groups received counseling sessions about breastfeeding and complementary feeding at maternity ward and at home with 7,15,30,60 and 120 days.; Other Names: Group one- no grandmother and no intervention; Group two- no gradmother and with intervention; Group three - with grandmother and no intervention; Group four- with grandmother and with intervention
Experimental: visit without grandmother; Teenagers mothers don´t live with their grandmothers and receive counseling sessions about breastfeeding and complementary feeding.	Behavioral: counseling sessions; The intervention groups received counseling sessions about breastfeeding and complementary feeding at maternity ward and at home with 7,15,30,60 and 120 days.; Other Names: Group one- no grandmother and no intervention; Group two- no gradmother and with intervention; Group three - with grandmother and no intervention; Group four- with grandmother and with intervention
No Intervention: no visit with grandmother; Teenagers mothers live with their grandmothers and don´t receive counseling sessions about breastfeeding and complementary feeding.
No Intervention: no visit without grandmother; Teenagers mothers don´t live with their grandmothers and don´t receive counseling sessions about breastfeeding and complementary feeding.

Outcome Measures

Go to 

Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Primary Outcome Measures :

1. Frequency of exclusive and total breastfeeding [ Time Frame: First year ]

Secondary Outcome Measures :

1. Pattern of complementary feeding [ Time Frame: one year ]

Eligibility Criteria

Go to 

Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Ages Eligible for Study:	12 Years to 19 Years (Child, Adult)
Sexes Eligible for Study:	Female
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

• Adolescent mothers
• Mothers living in the city of Porto Alegre
• Healthy nontwin newborns with birth weight equal or greater than 2500g

Exclusion Criteria:

• Mothers living with mother-in-law
• Mother-infant pairs that were unable to stay together due to a health concern in either the mother or infant
• Mammaplasty reductive

Contacts and Locations

Go to 

Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Locations

Brazil
Hospital de Clinicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, Brazil, 90035-903

Sponsors and Collaborators

Hospital de Clinicas de Porto Alegre

Investigators

Study Chair:	ELSA REGINA J GIUGLIANI, MD,PhD,IBCLC	Hospital de Clínicas de Porto Alegre

More Information

Go to 

Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

da Silva CF, Nunes LM, Schwartz R, Giugliani ER. Effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers. BMC Pregnancy Childbirth. 2016 May 3;16:97. doi: 10.1186/s12884-016-0878-z.

Schwartz R, Vigo Á, de Oliveira LD, Justo Giugliani ER. The Effect of a Pro-Breastfeeding and Healthy Complementary Feeding Intervention Targeting Adolescent Mothers and Grandmothers on Growth and Prevalence of Overweight of Preschool Children. PLoS One. 2015 Jul 10;10(7):e0131884. doi: 10.1371/journal.pone.0131884. eCollection 2015.

Dias de Oliveira L, Justo Giugliani ER, Córdova do Espírito Santo L, Meirelles Nunes L. Counselling sessions increased duration of exclusive breastfeeding: a randomized clinical trial with adolescent mothers and grandmothers. Nutr J. 2014 Jul 17;13:73. doi: 10.1186/1475-2891-13-73.

de Oliveira LD, Giugliani ER, Santo LC, Nunes LM. Impact of a strategy to prevent the introduction of non-breast milk and complementary foods during the first 6 months of life: a randomized clinical trial with adolescent mothers and grandmothers. Early Hum Dev. 2012 Jun;88(6):357-61. doi: 10.1016/j.earlhumdev.2011.09.010. Epub 2011 Oct 15.

Responsible Party:	Elsa Regina Justo Giugliani, MD, PhD, Universidade Federal do Rio Grande do Sul
ClinicalTrials.gov Identifier:	NCT00910377 History of Changes
Other Study ID Numbers:	02-389
First Posted:	May 29, 2009
Last Update Posted:	May 29, 2009
Last Verified:	May 2009

Keywords provided by Hospital de Clinicas de Porto Alegre:

breastfeeding; exclusive breastfeeding; lactation counseling; teenagers	complementary food; adolescent; caregivers